Brett Vivian Prince, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4127 Issued in AZ

Practice address

249 W. Ponderosa
Whiteriver, AZ 85941

Phone

(928) 338-4811

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apache Behavioral Health Services

  • Community/Behavioral Health Agency
  • Whiteriver, AZ
  • NPI 1932200870
  NPD (past)
• Apache Behavioral Health Services, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Whiteriver, AZ
  • NPI 1285472522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1508159245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859411089",
            "telephone_number": "928-338-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W. PONDEROSA",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "BRETT",
        "middle_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolynn Piqosa, R.N.
• James Marris Pobrislo, CNM/FNP
• Karol Pobrislo, RT
• Bradley William Power
• Jacob Power, PHARMD
• Alexandria Lynn Quintana
• Rainbow Treatment Center White Mountain Apache Tribe
• Vangie Ramos, RD
• Tarri Ann Randall, PT, OCS, CWS
• Wendalyn Rankin, RN

• School Psychologist in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• School Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.